Claims

Global Insurance Growth Set to Slow to 2% in 2025 as US Tariffs Reshape Market Dynamics

Rising geopolitical fragmentation threatens risk diversification while investment yields and demographics offer offsetting opportunities, according to Swiss Re.

Insurance Fraud Reaches Billions as Traditional Detection Methods Miss Majority of Clues

Medical Stop Loss Claims Trends: Million-Dollar Cases Double as Cancer Remains Dominant

Insurance Faces Triple Threat From Climate and Environmental Risks

AI Gives Insurance Industry Crucial Head Start Against Claims Fraud

Recently in Claims

Chemical Release Injuries Not Covered by Comp

A judge says BP failed to prove that 315 employees injured in a chemical release were harmed in the scope of their employment.

Okla. Exclusive Remedy Case Closely Watched

One word — unforeseen — is threatening to unravel the exclusive remedy provision in Oklahoma’s workers’ comp law, potentially opening the door for a flood of lawsuits against employers with dangerous operations.

Workers’ Comp Docket

Significant workers’ comp legal decisions from around the country.

Was Fall Outside Building Within Course of Employment?

Employee claims the location where she was injured was not a parking area, but a part of the workplace.

Workers’ Comp Docket

Significant workers’ comp legal decisions from around the country.

Court Approves Comp for Post-Robbery PTSD

A recent court ruling reverses a prior decision, which found that the potential for armed robbery in the workplace was a normal working condition.

Florida High Court Signals Demise of Controversial Ruling

A new ruling from the Florida Supreme Court could unravel a circuit court assertion that the state’s workers’ comp law is unconstitutional.

A Matter of Defense

An ex-employee’s injury on a factory floor may not be compensable, but raises liability questions.

Legal Spotlight

The latest decisions impacting the industry.

The Balancing Act of Rehabbing Injured Workers

The demanding task of nurse case management grows ever more complicated.

Taking the Psych Out of Psychosocial

A drive to mitigate psychosocial factors exposes questions about defining them.

Fee Schedule Changes Likely to Create Price Differences

Fee schedule increases in California will impact payers significantly. However, it might help ensure access to care.

Pooled Resources a Plus for All

Creating and embracing a culture of return to work requires extensive education, training and commitment from all managers.

Who Has Jurisdiction Over Interstate Truck Driver’s Claim?

When the Florida employee of a Texas company is injured in Ohio, a battle over the claim’s jurisdiction rages.

Study: Aggressive Beats Conservative Care for Best Outcomes

Early, aggressive care can improve outcomes and reduce costs, studies show.

Long Term, Younger Injured Workers Cost More

Thanks to increased narcotic use and higher rates of severe disability, younger injured workers are costing employers more in the long term.

Information Dominance vs. Information Overload

Is information overload reducing the effectiveness of your claims operations?

Infographic: Drug Abuse Facts for Employers

Nearly two-thirds of all adult illicit drug users are employed. Plus, more information about substance abuse among workers.

Facing the Road Ahead

Carriers have serious concerns about the health care industry’s impact on workers’ comp, but are encouraged by the savvy of employers.

Focusing on Results

Selecting a network of the best medical providers can result in reduced costs and better medical results for workers.